Pregnancy in a woman undergoing peritoneal dialysis: Management and dialysis options

Pregnancy in patients with end-stage renal disease on maintenance dialysis is uncommon, with annual incidences reported at 0.3 - 2.7%. Peritoneal dialysis usage in pregnancy has been less reported than hemodialysis, although outcomes are similar. Nowadays, there are insufficient data to establish a...

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Published in:Clinical nephrology. Case studies 2022, Vol.10 (2196-5293), p.32-36
Main Authors: Veríssimo, Rita, Nogueira, Estela, Bernardo, João, Pereira, Marta, Abreu, Cristina P, Lopez, Noelia, Resina, Cristina, Matias, Patrícia, Lopes, José António, Branco, Patrícia, Pinto, Luísa
Format: Article
Language:English
Subjects:
Blood pressure
Case Report
Creatinine
Dialysate
Hemodialysis
Hospitals
Kidney diseases
Nephrology
Patients
Peritoneal dialysis
Pregnancy
Surveillance
Womens health
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Summary:Pregnancy in patients with end-stage renal disease on maintenance dialysis is uncommon, with annual incidences reported at 0.3 - 2.7%. Peritoneal dialysis usage in pregnancy has been less reported than hemodialysis, although outcomes are similar. Nowadays, there are insufficient data to establish a generalizable dialysis strategy in pregnant women with end-stage renal disease. As such, decisions should be individualized, depending on clinical factors, residual renal function, and, whenever possible, choice of the patient. We report the case of a 22-year-old patient receiving peritoneal dialysis who delivered a full-term, normal weight, healthy baby with increased dialysis dose achieved by supplementary hemodialysis during pregnancy, thus enabling peritoneal dialysis to be continued until the third trimester and minimizing hemodialysis requirements.
ISSN:2196-5293
2196-5293
DOI:10.5414/CNCS110828